Coronial

568 results for overdose

TAShome2018-03-05

Coroner's Finding: Bunn, Lauren Elizabeth

25y · Female·mixed drug toxicity

… checks in the months preceding her death. After calling a counsellor from Rural Alive and Well reporting overdose and suicidal intent, a critical delay occurred: the police dispatch operator failed to simultaneously req…

psychiatryemergency medicinecommunicationsystem
VIChome2016-02-29

Finding into death of Yamini Bhadrayu Patel

48y · Female·Ischaemic brain injury secondary to toxicity to tramadol and temazepam

A 48-year-old woman died from ischaemic brain injury caused by overdose of tramadol and temazepam. She was found unresponsive at home on 10 October 2009 after consuming these me…

general practiceintensive carediagnosticdelaytramadol
NSWhome2014-05-09

Inquest into the death of Adam HAYWARD

33y · Male·multi-drug toxicity as a result of misadventure

…sorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdoses, died from multi-drug toxicity in October 2009. The coroner examined whether his discharge on 13, 19, 21…

psychiatryemergency medicinequetiapine
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

…ith chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone tablets in August 2017 by leveraging regula…

general practicepain medicinesystemproceduraloxycodone
VIChospital2017-02-20

Finding into death of Ms A

34y · Female·Global cerebral ischaemia secondary to mixed drug toxicity including a substance…

…nvestigation examined heroin-related deaths in the City of Yarra, finding it has the highest frequency of overdose deaths in Victoria. Key clinical lessons include: recognition that heroin addiction is a public health is…

emergency medicineintensive caresystemheroin
VICcommunity2012-04-12

Finding into death of Rajesh Pala

34y · Male·Mixed drug toxicity

… suicidal ideation and commenced on methadone. On 23 April, he expressed to his case worker that he would overdose if discharged. Despite these threats, he was discharged to crisis accommodation at Hanover House with no …

psychiatryaddiction medicinecommunicationheroin
NSWhospital2025-12-22

Inquest into the death of Shane McMillan

40y · Male·Acute methylamphetamine toxicity

Shane McMillan, aged 40, died from acute methylamphetamine toxicity while in police custody. He was arrested for domestic violence offences on 1 December 2022 and presented to Orange Health Service twice that day with su…

emergency medicinetoxicologymethamphetamine
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

…ntracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units instead of 2,000 units due to a nurse misreading heparin ampoule conce…

neurosurgeryneurologymedicationsystemheparin
SAhome2010-06-04

Coroner's Finding: ARBUCKLE Claudia Anna Maria

44y · Female·mixed drug toxicity with aspiration of gastric contents

…to keep her engaged. The coroner found it impossible to determine whether death resulted from intentional overdose or unfortunate drug combination. The GP's management was deemed entirely reasonable; he could not have pr…

general practicepain medicineamitriptyline
VIChospital2021-09-21

Finding into death of AH

37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)

…ledge of Targin's prolonged action and naloxone's short duration; no documented VPIC consultation despite overdose recognition; poor handover (substance recorded as "unknown" by consultant despite nursing documentation o…

emergency medicinetoxicologydiagnosticcommunicationoxycodone
ACThome2011-04-29

Inquest Into The Death Of Yvette Allison Havet

33y · Female·heroin toxicity

Yvette Havet, a 33-year-old woman recovering from alcohol and drug addiction, died of heroin toxicity in May 2007. The coroner found that her fiancé administered the lethal injection, though she had also consumed substan…

toxicologyemergency medicinedelayheroin
SAhome2016-08-04

Coroner's Finding: KALME Dearne Lee

51y · Female·undetermined - either citalopram toxicity or ischaemic heart disease

…ctober 2013 while on home detention bail. She had been hospitalized in July 2013 following suspected drug overdose/withdrawal, during which she developed secondary kidney and heart complications. She was discharged in go…

psychiatrycardiologycitalopram
SAhospital2010-10-18

Coroner's Finding: NATT Katherine Michelle

24y · Female·hepatic encephalopathy due to hepatic necrosis due to paracetamol toxicity

A 24-year-old woman died from paracetamol toxicity following intentional overdose. She had developed a severe poker machine addiction resulting in escalating financial debt exceeding $60,…

emergency medicinehepatologyparacetamol
VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

…cy died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webster engaged in systematic doctor-shopping from at least eight prescribers across four clinics to …

psychiatrygeneral practicesystemcommunicationpropranolol
VICcommunity2014-02-03

Finding into death of Pratik Dugar

27y · Male·Multiple injuries sustained when struck by a train

…by suicide, placing himself in front of a train. He had presented to emergency with suicidal ideation and overdose one week prior and was assessed as low suicide risk following crisis assessment team review. He had cease…

general practicepsychiatrysertraline
VIChome2021-02-24

Finding into death of AAC

29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…

…lude: SafeScript does not monitor pregabalin despite evidence of high abuse potential and contribution to overdose deaths; prescribers failed to detect doctor-shopping despite red flags (multiple consultations, high dose…

general practicetoxicologydiagnosticsystempregabalin
TAScommunity2022-09-29

Coroner's Finding: Eirth, Rebecca Jayne

32y · Female·Combined drug (alprazolam and methadone) toxicity

…se the challenges of managing severe, longstanding opioid use disorder and the limited ability to prevent overdose death when patients supplement prescribed methadone with illicit polysubstance use.

addiction medicinepharmacologyalprazolam
QLDhome2010-06-09

Muller, Bradley John

45y · Male·overdose of quetiapine (Seroquel) augmented by alcohol

A 45-year-old man with schizophrenia and a decade-long history of repeated overdoses died from quetiapine (Seroquel) toxicity combined with alcohol. Critical failures occurred: multiple doc…

general practiceemergency medicinecommunicationsystemquetiapine
TAShome2022-10-28

Coroner's Finding: O'Shea, Amie Maree

39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…

…ions (breast cancer post-treatment, rheumatoid arthritis, sarcoidosis, depression, anxiety) with previous overdose attempts and suicidal ideation. She disclosed feeling like a burden but appeared in good spirits. Clinici…

pathologytoxicologytapentadol
SAhospital2013-09-03

Coroner's Finding: MUMFORD Michael John

41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity

…ts on 24 December 2009 in a suicide attempt. He presented to the ED conscious and coherent, reporting the overdose. He was admitted to ICU where dialysis was commenced. Despite appropriate management including intubation…

intensive careemergency medicinemetformin
156729

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